Washington County officials heard a proposal to equip frontline ambulances to deliver whole-blood transfusions and discussed a related plan to reimburse EMT students’ tuition in exchange for part‑time service.
An EMS staff member said the county is "looking at initiating a whole blood program," noting startup grants are available but typically require the county to buy equipment first and seek reimbursement later. The staff member estimated roughly $25,000 would be needed to outfit three units with blood/IV warmers and other items and emphasized the county would have to demonstrate it could maintain the program after grant funding ended.
The staff member detailed equipment needs, including a rapid infuser (a device that quickly administers a unit of blood) and single‑use IV tubing. The transcript records the tubing cost as $275 per unit and the speaker said 20 units would total about $5,500. Officials said the county has IV pumps already and would not routinely transfuse on every run, describing the capability as a critical, occasional life‑saving tool rather than a routine treatment.
Board members and staff also spent significant time on workforce concerns. They described recruiting and retaining EMTs as a challenge, especially among volunteer services, and discussed an active basic EMT class that began in January and is expected to finish in June. The class was described in the meeting as roughly 600 hours (including ride time) with tuition around $1,000 per student.
To address staffing shortfalls, a commissioner proposed a tuition‑reimbursement model in which the county would pay or reimburse class fees if students agreed to work part‑time for a defined period (one year was suggested). Officials favored a reimbursement approach over upfront payment to reduce the risk that students would leave before fulfilling a service commitment. They noted such a program would require written agreements, an interview or selection process, and decisions about which budget line would fund reimbursements — class fees currently go into the county general fund, the discussion said.
Officials asked staff to draft a written proposal that could include retroactive reimbursement for students already enrolled if the board approved the plan. Next steps identified at the meeting were for staff and the county’s finance or administrative staff (including a staff member named April in the transcript) to outline contract language, funding sources, and the mechanics of candidate selection.
The meeting concluded with no formal vote on the whole‑blood proposal or tuition‑reimbursement program; both were discussed as proposals for further staff work and possible future action.